West USA Realty

PRE-QUALIFICATION FORM
REAL SOLUTIONS. REALTOR SUCCESS

Document updated: February 2011

The pre-printed portion of this form has been drafted by the Arizona Association of REALTORS. Any change in the pre-printed language of this form must be made in a prominent manner. No representations are made as to the legal validity, adequacy and/or effects of any provision, including tax consequences thereof. If you desire legal, tax or other professional advice, please consult your attorney, tax advisor or professional consultant.

PRE-QUALIFICATION INFORMATION
1. Purpose: This Pre-Qualification Form is to be used in conjunction with an AAR Residential Resale Real Estate Purchase Contract 2. (Contract) and is to be completed by the Lender as indicated on lines 34 and 35. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. Lender has consulted with (Buyer) and submits the following: Buyer is: Married Unmarried Legally Separated Buyer is is not relying on the sale or lease of a property to qualify for this loan. Buyer is is not relying on Seller concessions for Buyers loan costs including pre-paids, impounds,

appraisal fees and Buyers title and escrow fees. (Note: The amount that the Seller agrees to contribute, if any,
Type of Loan: Occupancy Type: Property Type:
YES NO N/A

shall be established in the Contract). FHA VA USDA Conventional Secondary Primary Condominium Single Family Residence Mobile Home Other:

Other: Non-Owner Occupied Planned Unit Development

Manufactured Home

Lender has provided Buyer with the HUD form For Your Protection: Get a Home Inspection (FHA Loans Only). Lender has completed a verbal discussion with Buyer including a discussion of income, assets and debts. Lender has obtained a Tri-Merged Residential Credit Report , Based on the information provided, Buyer can pre-qualify for a loan amount of: $ assuming a monthly principal and interest loan payment of $ , provided that the total monthly housing payment (which includes principal, interest, mortgage insurance, property taxes, homeowners insurance, HOA, and flood insurance, if applicable) does not exceed: $ Interest rate not to exceed % Initial Requested Documentation: Lender has received the following information from the Buyer: (Additional documentation may be required).
YES NO N/A YES NO N/A

Paystubs Down Payment/Reserves Documentation W-2s Gift Documentation Personal Tax Returns Credit/Liability Documentation Corporate Tax Returns Other: 27. Additional comments: 28. Buyer has instructed, and Lender agrees to provide loan status updates on this AAR Loan Status Update form to Seller and Broker(s) 29. within five (5) days of Contract acceptance pursuant to Section 2e of the Contract and upon request thereafter.

LENDER INFORMATION
30. 31. 32. 33. The lender identified below has prepared the information listed above with the Buyer(s) and has completed the above action points noted. This information does not constitute loan approval. All information provided must be approved by an underwriter, and any material change in the Buyers credit or financial profile will render this pre-qualification null and void. The above pre-qualification expires on .
DATE

34. Lender:
COMPANY ARIZONA LICENSE # NMLS # CITY PHONE MO/DA/YR STATE FAX ZIP

35.
LOAN OFFICER

36.
ADDRESS

37.
EMAIL

38.
^ LOAN OFFICERS SIGNATURE

39. Buyer acknowledges receipt of a copy hereof and grants permission to Broker to submit this Pre-Qualification form with Contract. 40.
^ BUYERS SIGNATURE MO/DA/YR ^ BUYERS SIGNATURE MO/DA/YR

Pre-Qualification Form Updated: February 2011 Copyright 2011 Arizona Association of REALTORS. All rights reserved.
West USA Realty 7077 E. Marilyn Rd., Ste.130 Scottsdale, AZ 85254 Phone: 480.699.6678 Fax: 480.214.9298 Connie Roberts Blank Samples Produced with zipForm by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLogix.com